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4221. Chapter 2. ST-PRA Development | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
      April 01, 2018 - risks for acquiring an SSI in these settings and created the opportunity for cross-fertilization and learning

4222. SOPS™ Best Practices for Web-based SOPS Surveys Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/bestpractices-web-sopssurveys-transcript.pdf
      June 12, 2019 - Everyone is learning so much. I am always learning something, so this is great.

4223. Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
      January 01, 2024 - Because this was a pilot study, we were primarily interested in learning if this method is feasible, … Social learning theory and the health belief model.

4224. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
      March 01, 2002 - Discussion Reporting adverse drug events serves as an aid in learning from experience. … Learning from mistakes is easier said than done: group and organizational influences on the detection

4225. A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
      January 01, 2003 - Staff Learning and Motivation Staff Education, Training, and Development: How the institution structures … reporting of adverse events and near misses is essential if health care institutions are to become learning

4226. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiij.html
      June 01, 2010 - include four major activities: Develop interview tools to guide Care Managers and Quality Reviewers in learning

4227. Part Two: Design of Physician Feedback Reporting Systems | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/confid-report/system-design.html
      February 01, 2016 - Routine feedback conveys a sense of importance and facilitates a cycle of learning in which the physician

4228. Appendix B: Meeting Attendees’ Biographical Sketches | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/state/meeting-summary-cooperatives/appendix-b.html
      October 01, 2024 - technical bodies of work for behavioral health integration and practice facilitation, authored toolkits and learning

4229. Chapter 6. Discussion and Policy Implications | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter6.html
      August 01, 2022 - confidentiality restrictions specified by individuals submitting reports) was highlighted, to encourage learning

4230. Co-producing a Diagnosis
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/09-diagnostic-safety-practice-orientation.pptx
      November 24, 2020 - Learning from patients’ experiences related to diagnostic errors is essential for progress in patient

4231. Create a Safe Medicine List Together (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
      June 02, 2025 - Create a Safe Medicine List Together Create a Safe Medicine List Together AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Presenter Presentation Notes The Agency for Healthcare Research and Quality, or AHRQ, funded the development of a Guide to Impr…

4232. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptx
      June 02, 2025 - PowerPoint Presentation Create a Safe Medicine List Together AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families The Agency for Healthcare Research and Quality, or AHRQ, funded the development of a Guide to Improving Patient Safety in Primary Care Settings by Engagin…

4233. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/impguide.html
      November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training Implementation of the Falls Prevention Reports Note: This part of the training consists of interactive exercises and does not have any slides. If you are not part of a formal training, please read all these materials, prin…

4234. Final Progress Report: Theory to Practice: Issues and Challenges for Engineering Resilience (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/blocker-report.pdf
      January 01, 2025 - Final Progress Report: Theory to Practice: Issues and Challenges for Engineering Resilience Project Title: Theory to Practice: Issues and Challenges for Engineering Resilience Principal Investigator: Renaldo Blocker, Ph.D. Team Members: Katherine Law, Ph.D., Susan Hallbeck, Ph.D., Shawna Perry, M.D., Erik Hollnage…

4235. Final Progress Report: Improving the Quality of Pediatric Emergency Care Using an Electronic Medical Record Registry (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/alpern-report.pdf
      January 01, 2024 - Final Progress Report: Improving the Quality of Pediatric Emergency Care Using an Electronic Medical Record Registry Title: Improving the Quality of Pediatric Emergency Care Using an Electronic Medical Record Registry Principal Investigator and Team Members: Elizabeth R. Alpern, MD, MSCE Organization: Northwester…

4236. 4-Overview-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/4-overview-facilitator-guide.docx
      January 01, 2019 - ISCR Overview: Facilitator Guide AHRQ Safety Program for Improving Surgical Care and Recovery Slide Title and Commentary Slide Number and Slide Title slide: ISCR Overview Hello, and thank you for joining me. Today I'll be providing an overview of the Agency for Healthcare Research and Quality’s, or AHRQ’s, Safety…

4237. Blood Thinner Pills: Your Guide to Using Them Safely | Agency for Healthcare Research and Quality
      www.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.html
      March 01, 2023 - Blood Thinner Pills: Your Guide to Using Them Safely The Agency for Healthcare Research and Quality offers a free booklet and a video about blood thinner medicines. Staying Active and Healthy with Blood Thinners , a 10-minute video, features easy-to-understand explanations of how blood thinners wor…

4238. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
      July 01, 2023 - Section 2: Explanation of Key Concepts and Tools This section contains explanations and illustrations to help you better understand and appreciate the importance of TeamSTEPPS communication concepts and tools. If you teach this content or want additional insights into how the material can be more fully learned,…

4239. Pf-Engagement-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care Engage Patients and Families for Perinatal Safety Engage Patients and Families for Perinatal Safety SAY: The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand what is happening during the patient’s hospi…

4240. Improving Antibiotic Use is a Patient Safety Issue
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-slides.pptx
      September 01, 2022 - Improving Antibiotic Use is a Patient Safety Issue AHRQ Safety Program for Improving Antibiotic Use Implementing Antibiotic Stewardship in Your Practice Ambulatory Care AHRQ Pub. No. 17(22)-0030 September 2022 Implementing Stewardship AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care 1 Objecti…